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ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…less common presentations, with or without pain, include sudden loss of consciousness, a confusional state, profound weakness, the appearance of an arrhythmia, evidence of peripheral…

Hypoglycaemia: quick reference for emergency management

…Measure the plasma glucose immediately in everyone with a reduced level of consciousness, seizures, confusion, a change in behaviour, collapse or an acute neurological deficit…

🟠 Clonidine

…3 (0.3 mg/24hrs) Dosage in renal failure and renal replacement therapy: Dose as in normal renal function Adverse effects Excessive sedation. Confusion. Hallucinations…

Cardiac arrest in hyperthermia and malignant hyperthermia

…2 L crystalloid, with rate 500 ml/h). Cold shower. Ice packs. Heat stroke ( 40°C) Neurological symptoms, confusion, convulsion, tachycardia, hypotension, coma. As above but…

Early repolarization pattern on ECG (early repolarization syndrome)

…early repolarization have varied over the years and across studies. This has lead to much confusion. In 2015 MacFarlane et al issued a consensus statement…

Acute exacerbation of COPD: quick reference

…failure New drowsiness, confusion or agitation Suspect hypoxaemia or hypercapnia Cyanosis or saturation below target despite oxygen Severe impairment of gas exchange Hypotension, cool peripheries…

Acute severe asthma in adults: quick reference

…Position and behaviour Can lie down or sit Often sits leaning forward, anxious Confusion, reduced consciousness or marked stillness Respiratory rate Under 25 per minute…

Corticosteroids: quick reference for dose equivalents and stress dosing

…local protocol Psychiatric symptoms Sleep disturbance, hypomania, confusion. Commonest early on and at high doses Muscle weakness Steroid myopathy, with proximal weakness Red flags and…

Hypertensive crisis: quick reference for acute blood pressure lowering

…persist after the visit and predict future hypertension and cardiovascular risk [3]. Questions that rapidly change management Ask specifically about: Neurological symptoms: confusion, visual loss…

Hyponatraemia: quick reference for work-up and correction

…signs of raised intracranial pressure or impending herniation Moderately severe symptoms New confusion Severe headache Persistent nausea Moderately reduced consciousness Marked gait instability The specificity…

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